Telemedicine Technologyand Requirements for

Implementation

Patient Cart

Patient Station• Camera• Monitor• Cart – Medical Grade, smallest

footprint possible, stable platform

• Measurement - 29″W x 24″D x ~72”H (adjustable height)

CameraCODEC

Display w/ built in speakers

Horus Scope camera CODEC microphone

Secure storage drawer

USB to HDMI converter Box

Receptacles & power switch

Locking wheels

The Camera

– High Zoom (12x or better)– Remote Control Pan, Tilt, Zoom– High Definition (1920x1080)

CODEC

• Polycom, Cisco or PC– ITU Standards base– High Definition

(1920x1080)– Encrypted audio and

video

Monitor

• Medical Grade• 1920 x 1080 resolution• Digital inputs

Electronic Stethoscope

• Thinklabs One• Up to 100x amplification• 30hz to 1500hz Frequency

Response• Built in adjustable filtering• Built in volume control• Rechargeable battery

Medical Camera

Hand Held Chassis• High Definition (1920 x

1080)• Interchangeable lenses for

different medical specialties• Built In Screen• Live Video or Store and

Forward File Capability

Medical Camera

• Otoscope Lens• Built in Illumination LEDs• Provides imaging for

tympanic membrane and auditory canal.

• Uses standard Heine or Welch-Allyn specula (adult and pediatric)

Medical Camera

• General View Lens• Built in Illumination

LEDs• Provides imaging for

dermatology, oral examinations, general body images

Medical Camera

• Surface Lens• Built in Illumination for

targeting retina• Provides 2msec.• Built-in polarization for

reduction of skin reflection• Equipped with 5mm ruler

(1mm increments)

Medical Camera

• Anterior Chamber Lens• Built in Illumination LEDs• Built in cobalt blue lighting for

fluorescein eye stain test• Provides highly magnified

images of the anterior segment

Medical Camera

• Fundus Camera Lens• Built in IR LED lighting for

focusing on retina• Press OK and 200ms flash

captures the image.• Provides highly magnified

images of the retina without dilating of the eye.

Other Options

• Ultrasound Integration• Any ultrasound with video

output (HDMI, composite, S-Video, etc.) can be integrated for live ultrasound exams.

Other Options

• Microscopes• Any microscope with beam-

splitter for attaching a camera can be integrated.

• Camera adapters can be attached to one of the eye-pieces if no beam-splitter option is available.

Provider Station

• Laptop or PC with HD Display• I7 Quad Core Processor• 8GB RAM• 256GB SSD• Built in Camera• Video Conferencing Software

Provider Station

• Audio Puck– Built in Volume Controls– USB interface– Plug in headphones with no

annoying popup on PC screen

• Headphones– 20-20Khz frequency response

Network Requirements

• Ethernet 100/FDX minimum (not wireless)• 1Mb Up/Down clear data path to internet (minimum call is 768K

plus overhead packetization)• If institution has video infrastructure (gatekeeper/registrar and

gateway) then registration with those existing systems is preferred.

• If the institution/facility has no video infrastructure then a static public IP and possible firewall modifications (pin-holing ports or allowing services) may be needed.

Room Requirements

Acoustics: Ambient sound level should be no more than ideally 50db,

preferably around 40 db. Measured with HVAC active.

Measure with sound meter or app in smart phone (e.g. Sound Meter) Room should be have solid walls to ceiling and acoustic

insulation (With dropped ceilings, verify solid walls to ceiling) Conversations inside the room should not be heard outside the

door. If so, sometimes a white noise generator, placed outside the door can be used.

Room Requirements

• Lighting Lighting should be minimally 800 lux, preferably 1000 lux. Measure with a light meter or app in smart phone (e.g. Lux Light

Meter). No flickering (high frequency ballasts desired) Walls painted light neutral colors (white, beige…) Dark or bright colors reflect their color and may tint image.

Windows covered with curtains, blinds or some covering Cuts out bright spots, reflections and is a failure to do so is a

HIPAA compliance issue.

Thank you!